Vocal process granuloma in a trans-male patient: An unreported potential complication of hormone therapy

Vocal process granulomas are an uncommon pathology, typically arising from phonotrauma in males or after an iatrogenic injury such as intubation. In transgender patients, consideration of gender as a risk factor for certain pathologic conditions is typically based on gender assigned at birth. We report the case of a young trans-male presenting with a vocal process granuloma and vocal fold atrophy/glottic insufficiency without history of laryngeal trauma. This case highlights the need to consider the effects of gender transition on pathologies with known gender-stratified risk profiles.